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LGBTQ+ Rights

LGBTQ+ rights are human rights. There is no room for compromise or debate. Every person deserves to live openly, free from fear, as a full and equal citizen.

If elected, I will work to restore the federal protections that have been torn up, and write equality into law so that no person in this country can be made a political football or second-class citizen.

The starting points for this are the Equality Act, which would provide enforceable federal civil rights protections against anti-LGBTQ+ discrimination, and the Transgender Bill of Rights, which would establish as national policy that trans people are entitled to the same rights as everyone else.

The Reality

Gender-affirming care is endorsed by every major American medical organization. The American Medical Association, the American Academy of Pediatrics, the Endocrine Society, the American College of Physicians, the American Psychiatric Association, and others hold that this care is medically necessary and, for many patients, lifesaving.1 This care is all delivered under established clinical guidelines. The Endocrine Society draws on more than 260 studies for its Clinical Practice Guidelines, and over 2,000 studies have examined aspects of gender-affirming care since 1975.2 The AMA has committed specifically to opposing criminal and legal penalties against patients who seek the care, the families who support them, and the clinicians who provide it.2 In 2025, organizations representing more than 600,000 clinicians issued a joint statement rejecting political interference in treatment decisions.3

The Trevor Project’s 2025 national survey of more than 16,000 LGBTQ+ young people found that 36 percent seriously considered suicide in the past year, rising to 40 percent among transgender and nonbinary youth.4 Transgender and nonbinary youth unable to obtain hormones were nearly twice as likely to report a suicide attempt as those receiving them, 15 percent against 8 percent.5 Ninety percent reported that recent politics caused them stress or anxiety, 59 percent of those aged 13 to 17 reported being bullied in the past year, and 38 percent of transgender and nonbinary youth said they or their family had considered leaving their state because of anti-LGBTQ+ politics and laws.4

In Bostock v. Clayton County (2020), the Supreme Court held that the Civil Rights Act’s prohibition on sex discrimination in employment protects gay and transgender workers.6 Federal employees and the employees of federal contractors were protected from sexual-orientation and gender-identity discrimination under executive orders, some nearly 30 years old, covering roughly 14,000 transgender federal workers and over 100,000 LGBTQ+ employees of federal contractors.7 Transgender people could obtain accurate passports and other federal identity documents, a practice in place for over three decades, with an “X” marker option added in 2022.8 Federal health-nondiscrimination rules under Section 1557 of the Affordable Care Act extended to gender identity.9 Same-sex couples could marry nationwide under Obergefell v. Hodges (2015), with federal and state recognition reinforced by the Respect for Marriage Act of 2022. Federal surveys and public health surveillance systems counted LGBTQ+ people, which made discrimination and health disparities measurable. These protections had been assembled over decades. It was operative law and policy.

Executive Order 14168, signed January 20, 2025, directs the federal government to recognize only two sexes, defined “at conception,” to remove “gender ideology” from federal policy and communications, and to require that passports, visas, and Global Entry cards reflect sex assigned at birth.9 An order the following day revoked the non-discrimination protections covering federal contractors’ employees.7 Executive Order 14183, on January 27, banned transgender people from military service.10 Executive Order 14187, on January 28, directed agencies to cut federal funding from medical institutions providing gender-affirming care to anyone under 19, describing that care as “mutilation.”9 On February 20, the Department of Health and Human Services rescinded guidance affirming that federal civil-rights law protects such care.9 Executive Order 14190, on January 29, directed agencies to strip “gender ideology” from K-12 schooling and tied federal education funding to compliance.11 Executive Order 14201, in February, moved to bar transgender girls from school sports under threat of withdrawn education funding, placing more than $860 million of Maine’s federal funding at risk.12

The State Department stopped issuing accurate passports. Within 48 hours it had withheld pending applications and returned passports marked with applicants’ birth sex.13 The Equal Employment Opportunity Commission moved to dismiss at least seven pending discrimination cases brought on behalf of transgender workers, deprioritized all new gender-identity complaints, and fired an administrative judge who objected.1415 The Bureau of Prisons moved to transfer transgender women to men’s facilities and to terminate their medical care.16 The Department of Justice issued a memo in April 2025 directing prosecutors to investigate providers of gender-affirming care, then served more than 20 subpoenas on doctors and clinics. By 2026, hospitals had received grand-jury subpoenas indicating a criminal investigation.1718 In December 2025, the Centers for Medicare and Medicaid Services proposed rules to strip federal funding from any hospital providing gender-affirming care to minors, a condition nearly every hospital in the country must meet to operate, and the same week the House of Representatives passed a bill to make providing that care a felony punishable by up to 10 years in prison.1920 The threat alone was effective. By mid-2025 at least eight major hospital systems had halted gender-affirming care for young people, NYU Langone canceled appointments for existing patients, and the FBI solicited public tips against providers.2122

By early 2026, approximately 360 federal data collections had removed at least one measure of sexual orientation or gender identity, and the Centers for Disease Control and Prevention scrubbed youth-health and HIV pages from its website.2324 Researchers warned that the removals would erode the ability to track the health of an estimated 14 million LGBT people in the United States.23 The National Institutes of Health terminated roughly $783 million in research grants, including studies of transgender health and HIV, and the Supreme Court permitted the terminations to proceed.25 On July 17, 2025, the federal government shut down the 988 Suicide and Crisis Lifeline’s specialized service for LGBTQ youth, which had handled an estimated 1.5 million contacts since 2022.26 The administration terminated $600 million in CDC HIV and STD prevention and public health surveillance grants, and withheld other appropriated HIV-prevention funds, a withholding that forced Los Angeles County alone to terminate contracts with 39 health providers, and restructured the international program credited with saving millions of lives.272829

The judiciary lent a sledgehammer. In United States v. Skrmetti (June 18, 2025), the Supreme Court upheld Tennessee’s ban on gender-affirming care for minors, applying only rational-basis review and declining to recognize transgender people as a protected class.30 The Court stayed injunctions against both the military ban and the passport policy, allowing each to take effect while litigation continues.3132 In June 2026, a federal appeals court barred the discharge of the named servicemember plaintiffs but left the ban otherwise in force, and the administration said it would appeal to the Supreme Court.33 Where courts have ruled against the government, they have been direct: the judge who first enjoined the military ban found it “soaked in animus and dripping with pretext.”10 A federal court delivered a similar rebuke over book bans, in the schools Washington runs directly. Acting on the K-12 schooling order and two companion orders, the Department of Defense Education Activity, which teaches roughly 67,000 children of service members, quarantined nearly 600 books and lessons touching on race, gender, LGBTQ+ identities, and sexual health, and suspended part of its Advanced Placement Psychology course.11 In April 2025, 12 students from six military families sued. In October, a federal judge found the removals likely violated the First Amendment and ordered the materials restored at the plaintiffs’ schools, holding that the government may not deny students access to ideas merely because officials deem them divisive.1134

Cuts to federal HIV-prevention funding fall heaviest on gay and bisexual men. The administration scaled back both domestic prevention grants27 and global programs, and in defending the global cuts the Secretary of State drew a distinction between treating people who already have HIV and funding prevention for groups that include gay and bisexual men.35 Modeling of those cuts projects thousands of additional infections, a majority among transgender women and men who have sex with men.36 In Mahmoud v. Taylor (June 2025), the Supreme Court held 6-3 that public schools must let parents remove their children from lessons that include LGBTQ+ characters, such as storybooks depicting same-sex couples.37 Marriage equality remains in force, but in 2025 at least nine states introduced bills or resolutions challenging it, and the Southern Baptist Convention, the nation’s largest Protestant denomination, made overturning Obergefell v. Hodges a priority.38

Without a federal floor, human rights rest on state lines. Twenty-seven states have enacted bans on gender-affirming care for minors, and some states have begun restricting it for adults.302 Nineteen states circumscribe transgender people’s use of restrooms in government buildings, and more than a dozen define sex by birth anatomy in terms that exclude transgender and nonbinary people from civil-rights protections.39 State legislatures introduced 575 anti-LGBTQ+ bills in 2025, of which 54 became law, and are advancing hundreds more in 2026 alongside more than 100 such discriminatory bills at the federal level.394041 The books pulled from military-school shelves are the same titles at the center of book-removal campaigns in school districts across the country.34 The result is a map in which the same person holds different rights, to medical care, to accurate documents, to equal treatment at work and in school, in different states.

To Restore and Build Anew

The Equality Act (H.R. 15), introduced by Rep. Mark Takano in 2025, would amend the Civil Rights Act and related statutes to prohibit discrimination based on sexual orientation and gender identity in employment, housing, public accommodations, credit, education, and federal programs, placing protections in statute rather than in revocable executive orders.42 The No Place for LGBTQ+ Hate Act (H.R. 3708), introduced by Rep. Becca Balint in 2025, would nullify the executive orders directly.43 The Transgender Bill of Rights (H. Res. 1058), introduced by Rep. Pramila Jayapal in 2026, supports federal protection and equal treatment of trans people.44

The 988 LGBTQ+ Youth Access Act (H.R. 5434), introduced by Rep. Raja Krishnamoorthi in 2025, would restore the crisis service that was shut down.45 The Transgender Health Care Access Act (H.R. 2487), introduced by Rep. Becca Balint in 2025, would expand the supply of qualified providers, and the Pride in Mental Health Act of 2025 (H.R. 3757), introduced by Rep. Sharice Davids, would fund mental-health services for LGBTQ+ youth.4647 The LGBTQ+ Panic Defense Prohibition Act of 2025 (H.R. 4197), introduced by Rep. Chris Pappas, would bar the use of a victim’s identity to excuse violence.48 The Therapeutic Fraud Prevention Act of 2025 (H.R. 3243), introduced by Rep. Ted Lieu, and the Prohibition of Medicaid Funding for Conversion Therapy Act (H.R. 4244), introduced by Rep. Shri Thanedar in 2025, would treat conversion therapy as the dangerous fraud it is.4950 The John Lewis Every Child Deserves a Family Act (H.R. 6181), introduced by Rep. Danny K. Davis in 2025, would protect LGBTQ+ youth and prospective parents in the child-welfare system.51 The Global Respect Act (H.R. 6151), introduced by Reps. Sarah McBride and Brian Fitzpatrick in 2025, would sanction foreign officials who persecute LGBTQ+ people.52

Protections that can be revoked by a signature were never secure. I will work to repair the damage and build a freer future.


References

  1. GLAAD. “Medical Association Statements in Support of Health Care for Transgender People and Youth.” glaad.org 

  2. Endocrine Society. “AMA strengthens its policy on protecting access to gender-affirming care.” endocrine.org  2 3

  3. QueerCME. “What Leading Clinician Groups Say About the Executive Order.” queercme.com 

  4. The Trevor Project. “New National Survey of LGBTQ+ Young People Shows High Rates of Suicide Risk, Harmful Impacts of Anti-LGBTQ+ Politics and Bullying.” thetrevorproject.org  2

  5. The Trevor Project. “2025 U.S. National Survey on the Mental Health of LGBTQ+ Young People.” thetrevorproject.org 

  6. Bostock v. Clayton County, 590 U.S. 644 (2020). oyez.org 

  7. Williams Institute, UCLA School of Law. “Impact of Executive Order Revoking Non-Discrimination Protections for LGBTQ Federal Employees and Employees of Federal Contractors.” williamsinstitute.law.ucla.edu  2

  8. Lambda Legal. “Passport + Identity Document Information for the Transgender Community.” lambdalegal.org 

  9. KFF. “Overview of President Trump’s Executive Actions Impacting LGBTQ+ Health.” kff.org  2 3 4

  10. GLAD Law. “Talbott v. USA.” gladlaw.org  2

  11. ACLU. “DoDEA Must Return Books to Shelves, Judge Rules” (E.K. v. Department of Defense Education Activity). aclu.org  2 3

  12. Chalkbeat. “Trump’s Title IX probe in Maine is test of civil rights law, school funding.” chalkbeat.org 

  13. ACLU. “Orr v. Trump.” aclu.org 

  14. Democracy Forward. “Challenging the EEOC’s Refusal to Protect Transgender Workers from Workplace Discrimination.” democracyforward.org 

  15. NBC News. “A judge resisted Trump’s order on gender identity. The EEOC just fired her.” nbcnews.com 

  16. NBC News. “Federal judge blocks Trump administration from transferring transgender inmate.” nbcnews.com 

  17. NBC News. “DOJ subpoenas more than 20 doctors and clinics that provide trans care to minors.” nbcnews.com 

  18. STAT. “New subpoena suggests DOJ has begun criminal investigation of gender-affirming care.” statnews.com 

  19. STAT. “In major effort to end gender-affirming care, Trump administration takes aim at hospitals.” statnews.com 

  20. CNN. “House passes bill criminalizing gender-affirming care for minors.” cnn.com 

  21. The Daily Pennsylvanian. “Penn, CHOP turn over documents on transgender patients.” thedp.com 

  22. The Hill. “New York AG warns hospitals against suspending gender-affirming care.” thehill.com 

  23. Williams Institute, UCLA School of Law. “Removal of Sexual Orientation and Gender Identity from Federal Data Collections.” williamsinstitute.law.ucla.edu  2

  24. STAT. “CDC removes data on sexual orientation, gender identity from website.” statnews.com 

  25. Science. “Supreme Court upholds Trump cancellation of NIH grants.” science.org 

  26. The Trevor Project. “Closed: Trump Admin Officially Shuts Down the 988 Suicide & Crisis Lifeline’s LGBTQ+ Youth Specialized Services.” thetrevorproject.org 

  27. ABC News. “Trump administration cuts $600 million in HIV, STD prevention and surveillance grants.” abcnews.go.com  2

  28. Office of Rep. Laura Friedman. “Congresswoman Friedman Hosts LGBTQ Roundtable.” friedman.house.gov 

  29. Science. “Trump administration cuts CDC’s key role in global program to stop HIV.” science.org 

  30. KFF. “What are the Implications of the Skrmetti Ruling for Minors’ Access to Gender Affirming Care?” kff.org  2

  31. SCOTUSblog. “Supreme Court allows Trump to ban transgender people from military.” scotusblog.com 

  32. ACLU. “Supreme Court Allows Trump Administration To Enforce Discriminatory Passport Policy.” aclu.org 

  33. Freedom for All Americans. “Court Shields Transgender Troops From Removal, but Keeps Door Closed to New Recruits.” freedomforallamericans.org 

  34. The 19th. “ACLU sues Department of Defense over pulling ‘DEI’ books from school libraries.” 19thnews.org  2

  35. NBC News. “A global HIV/AIDS program that saved millions of lives faces cuts under the Trump administration.” nbcnews.com 

  36. NIHR Health Protection Research Unit. “New study finds that US funding cuts for HIV pre-exposure prophylaxis could substantially increase HIV infections in sub-Saharan Africa” (Lancet HIV modeling). hpruebs.nihr.ac.uk 

  37. The 19th. “Supreme Court ruling on LGBTQ+ books gives religious parents more say over what students learn” (Mahmoud v. Taylor). 19thnews.org 

  38. Lambda Legal. “Protecting LGBTQ+ Families and Identities: A 10-Year Reflection on Obergefell and the Ongoing Fight for Equality.” lambdalegal.org 

  39. The 19th. “Where anti-trans state bills stand in 2025.” 19thnews.org  2

  40. ACLU. “Mapping Attacks on LGBTQ Rights in U.S. State Legislatures in 2026.” aclu.org 

  41. Trans Legislation Tracker. “2026 Anti-Trans Bills.” translegislation.com 

  42. Equality Act, H.R. 15 (Rep. Mark Takano), 119th Congress. congress.gov 

  43. No Place for LGBTQ+ Hate Act, H.R. 3708 (Rep. Becca Balint), 119th Congress. congress.gov 

  44. Transgender Bill of Rights, H. Res. 1058 (Rep. Pramila Jayapal), 119th Congress. congress.gov 

  45. 988 LGBTQ+ Youth Access Act of 2025, H.R. 5434 (Rep. Raja Krishnamoorthi), 119th Congress. congress.gov 

  46. Transgender Health Care Access Act, H.R. 2487 (Rep. Becca Balint), 119th Congress. congress.gov 

  47. Pride In Mental Health Act of 2025, H.R. 3757 (Rep. Sharice Davids), 119th Congress. congress.gov 

  48. LGBTQ+ Panic Defense Prohibition Act of 2025, H.R. 4197 (Rep. Chris Pappas), 119th Congress. congress.gov 

  49. Therapeutic Fraud Prevention Act of 2025, H.R. 3243 (Rep. Ted Lieu), 119th Congress. congress.gov 

  50. Prohibition of Medicaid Funding for Conversion Therapy Act, H.R. 4244 (Rep. Shri Thanedar), 119th Congress. congress.gov 

  51. John Lewis Every Child Deserves a Family Act, H.R. 6181 (Rep. Danny K. Davis), 119th Congress. congress.gov 

  52. Global Respect Act, H.R. 6151 (Reps. Sarah McBride and Brian Fitzpatrick), 119th Congress. congress.gov